<%@ page contentType="text/html;charset=UTF-8" %>
<div id="auForm_addAgent" class="hide" style="min-width:320px!important">
	    <form id="generateForm" action=""	method="post"  onsubmit="return false;" >
			<table cellspacing="0" cellpadding="0" border="0" class="customTable doctorMessage">
				<tbody>
				<tr class="FormData">
					<td class="CaptionTD">年龄：</td>
					<td class="DataTD">&nbsp;
						<select name="age" id="ageSec" style="width:163px" onchange="ageGetMess()">
                            <option value="">未选择</option>
						</select>
					</td>
				</tr>
				<tr class="FormData">
					<td colspan="2" class="tips hide">
						<div style="width:320px;line-height:20px;margin:0 auto;text-align:center;">
							<span style="font-size:12px;color:red;display: inline-block;width:250px">提示：您已在当前年龄段配置过以下疫苗，请合理填写<span id="names"></span>在此年龄段中的计划次数</span>
							<span style="color:#ababab;display: inline-block;width:250px">已配置：<span id="alreadyVacc"></span></span>
						</div>
					</td>
				</tr>
				<tr class="FormData">
					<td class="CaptionTD">计划次数：</td>
					<td class="DataTD">&nbsp;
						<input name="inoculation_order" type="number" placeholder="请输入计划次数"  />
					</td>
				</tr>
				<tr class="FormData">
					<td class="CaptionTD">剂次：</td>
					<td class="DataTD">&nbsp;
						<input name="agent" type="number" placeholder="请输入剂次" />
					</td>
				</tr>
				<tr class="FormData">
					<td class="CaptionTD">间隔天数：</td>
					<td class="DataTD">&nbsp;
						<input name="interval_time" type="number" placeholder="请输入间隔天数" jyValidate="required" />
					</td>
				</tr>
				<tr class="FormData">
					<td class="CaptionTD">是否收费：</td>
					<td class="DataTD">&nbsp;
						<select name="is_charge" id="is_charge"  style="width:163px">
							<option value="0">否</option>
							<option value="1">是</option>
						</select>
					</td>
				</tr>
				<tr class="FormData">
					<td class="CaptionTD">下一针：</td>
					<td class="DataTD">&nbsp;
						<select name="parent_id" id="parent_id" style="width:163px">
                            <option value="">未填写</option>>
						</select>
					</td>
				</tr>
				</tbody>
			</table>
		</form>
</div>
<div id="auForm_addVaccine" class="hide" style="min-width:640px!important">
	<form id="addVaccineForm"	action=""	method="post"  onsubmit="return false;" >
		<table cellspacing="0" cellpadding="0" border="0" class="customTable">
			<tbody>
			<tr class="FormData">
				<td class="CaptionTD">疫苗名称：</td>
				<td class="DataTD">&nbsp;
					<input name="vaccine_name" type="text" placeholder="请输入疫苗名称" jyValidate="required" style="width:80%">
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">总剂次：</td>
				<td class="DataTD">&nbsp;
					<input name="totalAgent" type="number" placeholder="请输入总剂次" jyValidate="required" style="width:80%">
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">接种部位：</td>
				<td class="DataTD">&nbsp;
					<textarea placeholder="请输入接种部位" class="textVaccine" name="vaccine_part" jyValidate="required" style="width:80%"></textarea>
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">接种效果：</td>
				<td class="DataTD">&nbsp;
					<textarea placeholder="请输入接种效果" class="textVaccine" name="vaccine_result" jyValidate="required" style="width:80%"></textarea>
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">接种禁忌：</td>
				<td class="DataTD">&nbsp;
					<textarea placeholder="请输入接种禁忌" class="textVaccine" name="vaccine_taboo" jyValidate="required" style="width:80%"></textarea>
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">注意事项：</td>
				<td class="DataTD">&nbsp;
					<textarea placeholder="请输入注意事项" class="textVaccine" name="announcements" jyValidate="required" style="width:80%"></textarea>
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">可能反应：</td>
				<td class="DataTD">&nbsp;
					<textarea placeholder="请输入可能反应" class="textVaccine" name="untoward_effect" jyValidate="required" style="width:80%"></textarea>
				</td>
			</tr>
			<tr class="FormData">
				<td class="CaptionTD">配置相关疫苗：</td>
				<td class="DataTD">&nbsp;
					<select class="selectpicker" multiple data-live-search="true" id="vaccineSec" title="配置相关疫苗">

					</select>
				</td>
			</tr>
			</tbody>
		</table>
	</form>
</div>
<div id="auForm_checkAgent" class="hide" style="min-width:640px!important">
	<form id="checkAgent"	action=""	method="post"  onsubmit="return false;" >
		<table id="checkAgentTable" cellspacing="0" cellpadding="0" border="0" class="table customTable table-bordered table-hover margin-t10 line25" >
			<thead>
			    <tr>
					<th class="center">年龄</th>
					<th class="center">计划次数</th>
					<th class="center">剂次</th>
					<th class="center">间隔天数</th>
					<th class="center">是否收费</th>
					<th class="center">下一针</th>
				</tr>
			</thead>
			<tbody></tbody>
		</table>
	</form>
</div>